| NPI | 1417399379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 285756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D91643) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D91643) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 285756) | |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2023-05-12 |